Acute Lymphangitis: Symptoms, Treatment, and Care

Inflammation of the lymph nodes with redness and subsequent bleeding?

Last week, I discovered a small lump about 1 cm in size in my lower abdomen and on the inner side of my right thigh.
It had been there for a while, was movable, and painless.
However, it started to become red and swollen, and pressing on it became painful.
This week, it elongated to about 4 cm in length and became swollen.
This morning, I woke up to find that it was not only red and swollen but had also ruptured and was bleeding.
I just visited a surgical clinic where an elderly traditional doctor diagnosed it as acute lymphangitis.
He applied medication to the wound and prescribed an anti-inflammatory medication.
After looking up some information online, I wanted to ask the doctor why I wasn't given an injection or topical treatment for the injury.
I'm experiencing pain and bleeding when walking or sitting.
Is it necessary to drain any pus?

Niming, 20~29 year old female. Ask Date: 2016/03/10

Dr. Li Zhonghuai reply Surgery

Hello! It seems more like a sebaceous cyst rupture.
Surgical excision is recommended.
Please visit a general surgeon.
Changhua Hospital cares about you!

Reply Date: 2016/03/10

More Info

Acute lymphangitis is an inflammatory condition of the lymphatic vessels, often resulting from a bacterial infection. It typically arises when bacteria enter the lymphatic system through a break in the skin, such as a cut, insect bite, or other injuries. Understanding the symptoms, treatment, and care for this condition is crucial for effective management and recovery.

Symptoms of Acute Lymphangitis
The symptoms of acute lymphangitis can vary but generally include:
1. Redness and Swelling: The affected area, such as your lower abdomen and inner thigh, may appear red and swollen. This is due to inflammation of the lymphatic vessels.

2. Pain and Tenderness: As you described, the area can be painful, especially when pressure is applied. This pain can also radiate to nearby areas.

3. Fever and Chills: Many patients experience systemic symptoms such as fever, chills, and malaise, indicating that the body is fighting an infection.

4. Lymph Node Enlargement: Nearby lymph nodes may become swollen and tender as they respond to the infection.

5. Pus Formation: In some cases, the inflammation can lead to the formation of pus, which may require drainage.

Treatment of Acute Lymphangitis
The treatment for acute lymphangitis typically involves:
1. Antibiotics: The primary treatment for bacterial lymphangitis is antibiotics. These medications help to eliminate the infection. It's essential to take the full course as prescribed by your healthcare provider.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation.

3. Wound Care: If there is an open wound, keeping it clean and properly dressed is vital to prevent further infection. Your doctor may have applied a topical antiseptic to the area.

4. Elevation: Elevating the affected limb can help reduce swelling and discomfort.

5. Monitoring: Keeping an eye on the symptoms is crucial. If the condition worsens or does not improve with treatment, further medical evaluation may be necessary.

Care and Follow-Up
Given your situation, where the lesion has ruptured and is bleeding, it’s essential to take the following steps:
1. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using harsh chemicals that could irritate the skin.

2. Avoid Squeezing or Popping: While it may be tempting to squeeze out any pus, this can worsen the infection or push bacteria deeper into the tissue. Allow the body to expel any pus naturally.

3. Follow-Up with Your Doctor: Since you are experiencing significant pain and bleeding, it is crucial to follow up with your healthcare provider. They may need to reassess the area to ensure that there is no abscess that requires drainage.

4. Monitor for Systemic Symptoms: If you develop a fever, chills, or if the redness spreads, seek medical attention promptly, as these could be signs of a more severe infection.

5. Consider a Second Opinion: If you feel uncertain about the treatment plan provided by the physician, especially regarding the lack of injections or topical treatments, it may be beneficial to seek a second opinion from another healthcare provider.

In summary, acute lymphangitis is a treatable condition, but it requires appropriate medical intervention and care. The symptoms you are experiencing, such as pain and bleeding, warrant close monitoring and possibly further evaluation to ensure that the infection is adequately managed. Always prioritize communication with your healthcare provider regarding any changes in your condition.

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